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State of Kansas Department for Children and Families Prevention and Protection Services PPS 10350 REV 07/2021 Notification to Law Enforcement of APS Substantiated Finding Please type or print Involved
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How to fill out adult protective services of

01
Obtain a referral form for adult protective services from a social worker, doctor, or other healthcare professional.
02
Fill out the referral form completely with accurate information about the individual in need of protection.
03
Include specific details about the situation, such as the type of abuse or neglect being experienced.
04
Provide contact information for both the person in need of protection and the person making the referral.
05
Submit the referral form to the appropriate agency or organization that handles adult protective services.

Who needs adult protective services of?

01
Adults who are experiencing abuse, neglect, or exploitation.
02
Adults who are unable to protect themselves due to physical or mental limitations.
03
Adults who do not have a support system or resources to address safety concerns on their own.

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Adult Protective Services (APS) is a social services program provided by state and local governments serving older adults and adults with disabilities who are in need of protection.
Certain professionals, such as healthcare providers, social workers, and law enforcement officers, are required by law to report suspected abuse or neglect to APS.
To fill out APS, one must provide detailed information about the alleged victim, the nature of the abuse or neglect, and any other relevant details.
The purpose of APS is to investigate reports of abuse, neglect, and exploitation of vulnerable adults and to provide them with protection and support.
Information such as the name and contact information of the victim, the nature of the abuse or neglect, and any relevant background information must be reported on APS.
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